JUSTIN P EMBRY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013171

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

EMBRY

Business Name

JUSTIN P EMBRY

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

09/30/2004

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005